Sentences with phrase «writing on a form»
He didn't know me, but he wrote on the form that he knew me.
http://www.ghtvonline.com/
Also the website will be logging you out automatically so be sure to save / copy anything you wrote on forms before hitting the button «send».
Application for such license shall be made in writing on a form provided by the commissioner.
Beneficiary designations generally can't be made in a will; they must be made in writing on a form acceptable to the financial company.
I was unaware of the Smoker / Non-Smoker criteria and not sure what agent has written on the form.
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Privacy Official at Planned Parenthood Hudson Peconic, Inc.» We may deny your request for an amendment if it is not the form provided by us and does not include a reason to support the request.
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: «Customer Service Manager» of the PPNYC health center you were last seen at.
To request an amendment, your request must be made in writing on a form provided by us and submitted to: The Privacy Official at Planned Parenthood of Southwest and Central Florida.
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: «The Privacy Official at Planned Parenthood of Montana.»
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Privacy Official at Planned Parenthood League of Massachusetts.»
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Privacy Official at Planned Parenthood Columbia Willamette.»
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Privacy Official at Planned Parenthood Association of Utah.»
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: The clinic you received the services at or the Medical Records Clerk at Planned Parenthood of the Rocky Mountains.
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Privacy Official at Planned Parenthood Northern California.»
To request an amendment, you must submit your request in writing on a form provided by us to «The Privacy Official at Planned Parenthood of Kentucky.»
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: «The Privacy Official at Planned Parenthood of Michigan.»
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: «The Privacy Official at Planned Parenthood of Nassau County.»
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: «The Privacy Official at Planned Parenthood of the St. Louis Region.»
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Privacy Official at Planned Parenthood of Greater Northern New Jersey.»
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Privacy Official at PPNCNY.»
To inspect and copy health information, you must submit your request in writing on a form provided by us to: «The Privacy Official at Planned Parenthood Southwest Ohio Region».
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to «The Privacy Official at Planned Parenthood of Louisville.»
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Privacy Official at Virginia League for Planned Parenthood.»
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: «The Privacy Official at Planned Parenthood Gulf Coast, Inc.» If you request a copy of your health information, we may charge a fee for the costs of locating, copying, mailing or other supplies and services associated with your request.
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Privacy Official at Planned Parenthood California Central Coast»
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Privacy Official at Planned Parenthood of South Florida and the Treasure Coast»
To request an amendment, your request must be made in writing on a form provided by us and submitted to: The Privacy Official at Planned Parenthood of Central and Western New York, Inc..
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Privacy Official at PPNYC.»
To request an amendment, your request must be made in writing on a form provided by us and submitted to the Privacy Official.
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Privacy Official at Planned Parenthood Gulf Coast Inc..»
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us.
To request an amendment, your request must be made in writing on a form provided by us and submitted to: The Privacy Official at Planned Parenthood of Delaware.
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: The Privacy Official at Planned Parenthood of Central and Western New York, Inc..
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Privacy Official at Planned Parenthood of Nassau County.»
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: «The Privacy Official at Planned Parenthood Keystone.»
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: «The Privacy Official at Planned Parenthood Columbia Willamette».
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Medical Records Clerk at Planned Parenthood of the Rocky Mountains.»
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: «The Privacy Official at Planned Parenthood League of Massachusetts.»
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: «The Privacy Official at Planned Parenthood of the North Country New York, Inc.» If you request a copy of your health information, we may charge a fee for the costs of locating, copying, mailing or other supplies and services associated with your request.
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: The manager of the PPNorCal health center where you received health services.
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: The Privacy Official at Planned Parenthood of Delaware.
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Privacy Official at Planned Parenthood of Michigan.»
To request an amendment, your request must be made in writing on a form provided by us and submitted to the Planned Parenthood Center Manager.
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: «The Privacy Official at Planned Parenthood Mid-Hudson Valley.»
We prefer that you make this request in writing on a form provided by us.
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to «The Privacy Official at Planned Parenthood Arizona.»
To request an amendment, your request must be made in writing on a form provided by us and submitted to: «The Privacy Official at Planned Parenthood of Southern New England.»
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to the manager of the PPMM health center where you received health services.
To request an amendment, your request must be made in writing on a form provided by us and submitted to the Chief Medical Officer of Planned Parenthood Mar Monte.
To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing on a form provided by us to: «The Privacy Official at Planned Parenthood of Kansas & Mid-Missouri».